The Leviathan Swims In The Swill: Too Much Money To Ever Fix The System

I’m not quite sure where to go with this. Each week I flip through dozens of medical articles in an attempt to find one or two interesting health care developments you may not have read about. This week, I found myself tossing one article after another into a stack I mentally labeled “greed and its consequences.”

Now no one, whether person or corporation (rendered equivalent by the Supreme Court), wants to be labeled greedy. Neither is simple greed a criminal offense. In fact, greedy people and corporations are generally adept at morally (or, in the case of health care, scientifically) justifying their actions. A surgeon caught doing unnecessary procedures and a hospital CEO awash in fraudulent billing charges would be shocked and offended if someone accused them of anything as base as greed.

And yet my Greed Pile continues to grow.

Hospice Inc

I was most surprised to learn about the widespread abuses throughout the hospice industry. About 25 years ago when I was doing a lot of geriatric medicine, hospices for patients with terminal illnesses began to open, usually in a converted floor or wing of a not-for-profit hospital owned by a Catholic order of nuns. The family doctor would visit, the patient kept comfortable, sipping soup proffered by an elderly nun, until the end quietly came. No heroics, no last minute saves, just death.

It may interest you to know that currently half of Medicare patients will die in hospice, and since Medicare picks up most of the hospice bill we’re now talking serious money. Hundreds of hospices are scattered across the US, most operated by large corporations collecting more than $15 billion a year, all in your tax dollars. So what’s the problem? Medicare fraud and abuse. Investigators found that hospices were billing for charges as if they were hospitals, but without supplying hospital services. In fact, much of the care appears to be mediocre. In addition, unlike nursing homes, which are inspected every 15 months or more frequently, hospices can go years without anybody taking a peek.

Currently all the major hospice chains are undergoing fraud and abuse investigations and the picture being painted is not pretty. In the interim, these same chains have sent their sales force out in droves, trying to get hospitals, physicians, and families to consider hospice for their loved ones. One of the biggest complaints is inappropriate admissions, meaning expensive “terminal care” for the not-particularly-terminal. You can read more about all this here.

Big Pharma and health insurers

Everyone’s favorite greedy pair, the pharmaceutical and health insurance industries, are engaged in a major battle these days and unfortunately you, the patient, are the battlefield. Drug prices have become obscenely high. I recently overheard a pharmacist tell a customer that the small tube of ointment she needed was not covered by her plan and would cost $750. Thinking she’d misheard, she kept asking him to repeat it. He was extremely patient, but finally said, “Yes, it’s insane. Completely insane.”

How this tube of ointment, a drug that’s been around for almost 30 years, got priced in the stratosphere is an interesting study in simple greed and you can expect more like it.

Here’s how it goes: A group of big-money investors with absolutely no pharmaceutical expertise learns that an older generic drug has gone off the market, either due to lack of sales or because it’s been replaced by better drugs. Now it’s called an “orphan drug.” They buy the rights to this drug, and if anyone else is manufacturing it they’ll buy those rights too. Now the orphan is theirs, not unlike orphan girls in Victorian times who were promptly sold into prostitution. The drug is renamed and manufactured/packaged either here in the US or somewhere overseas. The orphan gets new clothes and a new identity. Its owners hire a sales force and spend a fortune pimping her out. Clearly the biggest savings for investors is that the drug has already been FDA approved. No testing, no expensive clinical trials.

A quick example of this is the migraine drug Midrin, discontinued in 2009 when the FDA classified it as “possibly effective” and in any case being left in the dust by the triptans (Imitrex, et al.). Midrin went generic and, because it didn’t work particularly well, was very inexpensive. Enter the Big Money Boys. Midrin received a new name, Nodular, marketed as “another migraine choice.” It is quite expensive. When I commented to the drug rep that the FDA says it’s not a very good drug, she answered, “Well, some people like it.”

The health insurance companies are pushing back on this greed and denying coverage for expensive drugs like these. But in the process they’ve learned there’s big money to be made by denying prescription drugs. If you’re a regular user of prescription drugs, you’ve likely seen a medication you’ve long taken suddenly being denied, or you’ve been told you must switch to a generic–and not just any generic, but the one that’s listed in your insurance company’s formulary. You might even be forced to use a drug you’ve tried in the past and know doesn’t work. Too bad for you.

Some of these denials are the result of sweetheart deals between drug company and insurance company. The asthma inhaler ADVAIR saw its market share plummet when it couldn’t match the price of its competitor, Symbicort. Most denials involve new drugs. Your insurance company insists your doctor must prescribe two or more drugs of the same class even if your doc knows the drugs won’t work for you…or aren’t even FDA approved for your condition. This is called “first fail” and compels patients to take ineffective drugs (and endure side effects) for the sole purpose of enhancing corporate profits.

Hospitals and doctors too

Hospitals and physicians are right there with the rest when it comes to self-justifying greedy behavior. I’ve already written about the egregious billing techniques of hospitals to cover the multi-million dollar salaries of healthcare “executives.”

An all too frequent topic in hospital board rooms is not “How can we do better?” but rather “How can we do more…” (cardiac catheterizations, colonoscopies, cataract extractions). “We need more referrals to cover that new…” (gamma knife, PET scan). “More patients to fill our new”….wing, nursing home, and yes, hospice.

As a primary care provider, I’m seeing more and more unnecessary diagnostic and surgical procedures being performed on patients. This has been confirmed by data collection and record review. This article shows that 30% of total knee replacements were probably unnecessary. This one discusses the booming sleep apnea business. The diagnosis of obstructive sleep apnea can be iffy, and recommendations for a CPAP machine or corrective surgery come long before any advice on lifestyle changes (like weight loss or sleeping on your side).

How long before you find yourself wheeled into an operating room if your nasal septum is a bit crooked, you complain of back pain, or you’re constipated?

If you mention a specific symptom to your doctor, you must learn to expect a prescription before hearing about lifestyle changes. Your doctor makes more money by moving fast. Writing the prescription ends your visit. She can now move on to her next patient. Oh, and let me add here that each year 3.5 million doctor visits are triggered by side effects. Women report nausea as the #1 side effect. The top drug side effect among men (obviously reported by the doctor or family) is death.

What does all this mean? Very simply, you must make every effort to avoid a potentially fatal encounter with the Leviathan of greed known as the US Health Care System. One study after another has proven beyond a doubt that if you take care of yourself, eat a healthful diet, exercise regularly (all year round), and consciously reduce stress, you can avoid the swill of chronic illnesses in which the Leviathan is swimming, waiting…for you.

Be well,
David Edelberg, MD

Facebook Tweet LinkedIn Print Email

July 7, 2014 by WholeHealth Chicago

Posted in Big Pharma Evils, Blog, Health Insurance Issues, Knowledge Base, LTagged Big Pharma, greed, health insurance companies, hospice, Leviathan

315 thoughts on “The Leviathan Swims In The Swill: Too Much Money To Ever Fix The System”

metformin pills 500 mg

Elwoodfodia

Posted March 29, 2023 at 2:10 am

valtrex price canada

Samuelclorn

Posted March 29, 2023 at 2:06 am

lopressor 25 mg pills

DavisLox

Posted March 29, 2023 at 12:53 am

albuterol canada pharmacy

Williamver

Posted March 29, 2023 at 12:12 am

can you buy robaxin over the counter in canada

Darrylecody

Posted March 28, 2023 at 11:52 pm

retin-a cream 0.025% australia retin-a cream for sale retin-a cream 0.025% usa

buy ditropan

Posted March 28, 2023 at 11:01 pm

albuterol 0.0

Curtislam

Posted March 28, 2023 at 11:01 pm

canadian pharmacy generic viagra

DavidKeelp

Posted March 28, 2023 at 10:04 pm

finasteride 1mg

SueElume

Posted March 28, 2023 at 9:25 pm

lipitor 10

MaryElume

Posted March 28, 2023 at 8:41 pm

sildalis

MaryElume

Posted March 28, 2023 at 8:40 pm

ampicillin without prescription

Elwoodfodia

Posted March 28, 2023 at 8:40 pm

generic strattera cost

DavisLox

Posted March 28, 2023 at 8:23 pm

levaquin 2019

SueElume

Posted March 28, 2023 at 7:52 pm

tenormin 50

DavidKeelp

Posted March 28, 2023 at 7:44 pm

reputable online pharmacy no prescription

Josephbom

Posted March 28, 2023 at 7:08 pm

generic valtrex online

MichaelRom

Posted March 28, 2023 at 7:01 pm

which online pharmacy is reliable

JoeElume

Posted March 28, 2023 at 6:57 pm

nexium 2017

Josephbom

Posted March 28, 2023 at 6:33 pm

viagra for women liquid how to get viagra prescription https://www.romanviagra.com/

wqwjci

Posted March 28, 2023 at 5:57 pm

accutane from canada pharmacy

Josephbom

Posted March 28, 2023 at 5:48 pm

zoloft price in india

ZakElume

Posted March 28, 2023 at 4:56 pm

order atenolol online

IvyElume

Posted March 28, 2023 at 3:57 pm

ventolin 50 mg

EyeElume

Posted March 28, 2023 at 3:56 pm

ampicillin brand name

DavisLox

Posted March 28, 2023 at 3:29 pm

atenolol 50 mg tablets coupon

IvyElume

Posted March 28, 2023 at 3:18 pm

flagyl no prescription

ZakElume

Posted March 28, 2023 at 2:52 pm

cost of yasmin in south africa

DavisLox

Posted March 28, 2023 at 2:50 pm

levaquin 250 mg tablet

DavisLox

Posted March 28, 2023 at 1:37 pm

200 mg prednisone daily

Darrylecody

Posted March 28, 2023 at 11:52 am

amoxil 500mg cost

AshElume

Posted March 28, 2023 at 11:37 am

120 prednisone

SueElume

Posted March 28, 2023 at 11:24 am

erectafil 20 mg price

DavisLox

Posted March 28, 2023 at 10:39 am

amoxil 875 125 mg

ZakElume

Posted March 28, 2023 at 10:03 am

valtrex drugstore

AlanElume

Posted March 28, 2023 at 9:38 am

biaxin xl 500

AlanElume

Posted March 28, 2023 at 8:33 am

antabuse price in india

RichardTried

Posted March 28, 2023 at 7:39 am

tetracycline 500 mg brand name

SueElume

Posted March 28, 2023 at 7:03 am

nexium 40 mg where to buy

MichaelRom

Posted March 28, 2023 at 6:57 am

best price lexapro 20 mg

EyeElume

Posted March 28, 2023 at 6:29 am

amoxicillin 250mg

DavisLox

Posted March 28, 2023 at 6:23 am

buspar medication

Josephbom

Posted March 28, 2023 at 6:01 am

can i order valtrex online

Josephbom

Posted March 28, 2023 at 5:58 am

strattera 25 mg price

Elwoodfodia

Posted March 28, 2023 at 5:47 am

1 atenolol

SueElume

Posted March 28, 2023 at 5:36 am

diflucan brand name

DavisLox

Posted March 28, 2023 at 5:32 am

kamagra pills india

JoeElume

Posted March 28, 2023 at 5:20 am

cheap cymbalta

DavisLox

Posted March 28, 2023 at 5:19 am

antabuse no prescroption

Darrylecody

Posted March 28, 2023 at 5:07 am

amitriptyline 2 cream

Elwoodfodia

Posted March 28, 2023 at 4:48 am

cymbalta 60 60mg

ZakElume

Posted March 28, 2023 at 4:15 am

cost of budesonide uk

Darrylecody

Posted March 27, 2023 at 11:53 pm

buy cymbalta

SueElume

Posted March 27, 2023 at 11:16 pm

Medicament information leaflet. Cautions. chlamydia azithromycin Some what you want to recollect almost medication. Go to here.

hpvbui

Posted March 27, 2023 at 2:36 pm

8mg medrol cost

Curtislam

Posted March 27, 2023 at 12:45 pm

tetracycline 500

DavidKeelp

Posted March 27, 2023 at 5:43 am

sildenafil side effects long term sildenafil side effects long term sildenafil 100mg para que sirve

jiqw08

Posted March 26, 2023 at 11:42 pm

buy generic finasteride

ZakElume

Posted March 25, 2023 at 11:04 pm

strattera 60 mg tablets

MichaelRom

Posted March 25, 2023 at 5:39 pm

buy propecia tablets uk

Darrylecody

Posted March 25, 2023 at 4:56 pm

piroxicam 20 mg price in india

DavisLox

Posted March 25, 2023 at 3:04 pm

Tadalafil 5mg how often can you take 20 mg cialis Generic cialis india

Ouedvcb

Posted March 24, 2023 at 6:58 pm

amoxicillin 500mg price in india

MichaelRom

Posted March 24, 2023 at 4:40 am

cost of strattera

MarkElume

Posted March 24, 2023 at 1:04 am

how to get bactrim without a prescription

SamElume

Posted March 24, 2023 at 12:28 am

xenical 120 mg price

Darrylecody

Posted March 23, 2023 at 10:26 pm

fluoxetine prescription on line

EvaElume

Posted March 23, 2023 at 12:59 pm

cytotec pills for sale online

JasonElume

Posted March 23, 2023 at 10:30 am

where can i get amoxicillin 500 mg

PaulElume

Posted March 23, 2023 at 2:58 am

amoxicillin 500mg

Josephbom

Posted March 22, 2023 at 7:15 pm

how does spironolactone differ from furosemide thuoc furosemide what is furosemide medication used for

xoodrn

Posted March 22, 2023 at 6:19 pm

happy family medical store

MichaelFonia

Posted March 22, 2023 at 5:43 pm

how much is celexa

EvaElume

Posted March 22, 2023 at 7:29 am

colchicine tablets price

Darrylecody

Posted March 22, 2023 at 5:15 am

buy cheap lisinopril 40mg

RichardTried

Posted March 21, 2023 at 10:19 pm

how to take clomid for pregnancy

jfhfxr

Posted March 21, 2023 at 12:01 pm

estrace cream prices

MichaelFonia

Posted March 21, 2023 at 11:21 am

zofran generic price

AmyElume

Posted March 21, 2023 at 10:44 am

colchicine 0.6 mg generic

Darrylecody

Posted March 21, 2023 at 8:53 am

lioresal 25 mg

ZakElume

Posted March 21, 2023 at 2:32 am

lasix tablets for sale

NickElume

Posted March 20, 2023 at 12:53 pm

benicar prescription medication

MichaelDoold

Posted March 20, 2023 at 9:37 am

What is the world’s most expensive drug prescription drugs from canada – http://www.pharmduck.com/

Imzwobw

Posted March 20, 2023 at 3:48 am

atarax online

EdgarWar

Posted March 19, 2023 at 9:21 pm

voltaren gel 100g price

BooElume

Posted March 19, 2023 at 6:58 pm

budesonide 9 mg tablets price

Curtislam

Posted March 19, 2023 at 5:36 pm

where can i buy robaxin

KimElume

Posted March 19, 2023 at 11:22 am

elimite cream

Williamver

Posted March 18, 2023 at 5:23 pm

medrol 4mg tablets

DenElume

Posted March 18, 2023 at 5:29 am

viagra naturel puissant et rapide http://www.parleviagra.com/ female viagra

adhemia

Posted March 18, 2023 at 1:11 am

cheapest prescription pharmacy

RodneyFew

Posted March 17, 2023 at 12:32 pm

inderal 60 mg

MichaelDoold

Posted March 17, 2023 at 3:52 am

flomax otc

Timothyvom

Posted March 16, 2023 at 11:20 am

zestoretic coupon

NickElume

Posted March 16, 2023 at 7:19 am

What drinks have probiotics stromectol scabies?

Iqbhxdc

Posted March 16, 2023 at 1:30 am

stromectol covid

MarvinCar

Posted March 15, 2023 at 12:17 pm

avodart soft capsules 0.5mg

SamElume

Posted March 15, 2023 at 6:09 am

albendazole tablets 200 mg

RichardTried

Posted March 14, 2023 at 5:57 pm

buy fildena 150 online

Samuelclorn

Posted March 14, 2023 at 9:37 am

vermox price nz

RicJed

Posted March 14, 2023 at 2:49 am

prednisolone 25mg price

KiaElume

Posted March 13, 2023 at 4:48 pm

4 clonidine

Williamver

Posted March 13, 2023 at 8:18 am

generic metformin 10 mg tablet

Darrylecody

Posted March 13, 2023 at 5:58 am

jelly kamagra cialis ou kamagra what are the side effects of kamagra.

bospasy

Posted March 13, 2023 at 2:11 am

azithromycin 500mg pills

Samuelclorn

Posted March 12, 2023 at 2:54 pm

cytotec online order

RodneyFew

Posted March 12, 2023 at 12:15 pm

buy generic antabuse

TommyInhen

Posted March 12, 2023 at 9:13 am

toradol 10 mg tablet cost

TommyInhen

Posted March 12, 2023 at 5:10 am

bactrim tablets uk

MichaelDoold

Posted March 12, 2023 at 3:27 am

dexamethasone capsule

WimElume

Posted March 11, 2023 at 5:47 pm

neurontin 200 mg

Samuelclorn

Posted March 11, 2023 at 5:26 pm

colchicine medicine

Samuelclorn

Posted March 11, 2023 at 5:16 am

generic synthroid 200 mcg

EstebanFon

Posted March 10, 2023 at 8:49 pm

benicar generic price

AnnaElume

Posted March 10, 2023 at 5:38 pm

amoxicillin 500 tablet

EyeElume

Posted March 10, 2023 at 4:34 am

kamagra oral jelly sale

Samuelclorn

Posted March 9, 2023 at 1:57 pm

cheap vardenafil 20mg

JudyElume

Posted March 9, 2023 at 11:19 am

list of trusted canadian pharmacies

canadian generic pharmacy

Posted March 9, 2023 at 3:54 am

online pharmacy without insurance

JimElume

Posted March 9, 2023 at 3:41 am

lyrica 75 mg price

EstebanFon

Posted March 8, 2023 at 10:36 pm

celexa 15mg

WimElume

Posted March 8, 2023 at 8:48 pm

levaquin medication

Michaelabors

Posted March 8, 2023 at 5:24 pm

tretinoin 0.1 gel india

Jamesincew

Posted March 8, 2023 at 4:38 pm

how much is retin a 0.1 cream 45 g

MiclGam

Posted March 8, 2023 at 1:18 pm

cephalexin for sale uk

JoeElume

Posted March 8, 2023 at 4:27 am

metformin price australia 500mg

KimElume

Posted March 8, 2023 at 2:38 am

cialis 20mg pills

EstebanFon

Posted March 7, 2023 at 2:51 pm

seroquel for sleep

RichardTried

Posted March 7, 2023 at 7:54 am

lasix 20

ZakElume

Posted March 7, 2023 at 5:08 am

indocin medicine

Jamesincew

Posted March 7, 2023 at 2:13 am

duloxetine cymbalta

JackElume

Posted March 6, 2023 at 10:34 pm

where can you buy nolvadex

PaulElume

Posted March 6, 2023 at 7:40 pm

Stromectol for scabies dosage Ivermectin human | What is the number 1 blood pressure medications

DostromSa

Posted March 6, 2023 at 5:43 pm

tetracycline 25g

UgoElume

Posted March 6, 2023 at 3:39 am

retin a cream 0.5 mg

SueElume

Posted March 5, 2023 at 10:34 am

levaquin without prescription

Josephbom

Posted March 4, 2023 at 11:43 pm

biaxin uti

NickElume

Posted March 4, 2023 at 4:51 am

tetracycline 500mg capsules

JasonElume

Posted March 3, 2023 at 10:28 pm

Long-Term Effects. drug information and news for professionals and consumers.
https://tadalafil1st.online/# cialis singapore buy
Get here. Long-Term Effects.

AlbertJiree

Posted March 3, 2023 at 4:41 pm

albendazole india online

MarvinCar

Posted March 3, 2023 at 3:03 am

albenza for pinworms

DavidKeelp

Posted March 2, 2023 at 5:15 pm

tetracycline capsules 250 mg

TommyInhen

Posted March 2, 2023 at 5:07 pm

Cautions. What side effects can this medication cause?
https://tadalafil1st.com/# cialis generic reviews
What side effects can this medication cause? п»їMedicament prescribing information.

AlbertJiree

Posted March 2, 2023 at 2:10 am

robaxin 750 price

MichaelRom

Posted March 1, 2023 at 2:26 pm

strattera 60

TommyInhen

Posted March 1, 2023 at 11:05 am

albendazole coupon

DavisLox

Posted February 28, 2023 at 9:04 pm

robaxin 500mg canada

JimElume

Posted February 28, 2023 at 3:45 pm

Long-Term Effects. Comprehensive side effect and adverse reaction information.
buy tadalafil in usa
Drugs information sheet. Drugs information sheet.

AlbertJiree

Posted February 28, 2023 at 5:37 am

malegra 100 mg for sale

Michaelabors

Posted February 27, 2023 at 10:21 pm

citalopram india price

RodneyFew

Posted February 27, 2023 at 2:45 pm

dexamethasone 3 mg

PaulElume

Posted February 27, 2023 at 9:46 am

Generic Name. Read information now.
chicago viagra triangle
Cautions. п»їMedicament prescribing information.

SamuelSwame

Posted February 26, 2023 at 9:49 am

erythromycin uk

KimElume

Posted February 25, 2023 at 5:47 pm

acyclovir 800 mg canada

JaneElume

Posted February 25, 2023 at 5:41 pm

cheapest clomid pills

MichaelDoold

Posted February 25, 2023 at 4:27 pm

online pharmacy china

WimElume

Posted February 25, 2023 at 3:49 pm

apo-prednisone

Jamesincew

Posted February 25, 2023 at 4:45 am

plavix medication

MarkElume

Posted February 24, 2023 at 11:35 pm

ciprofloxacin order online

Darrylecody

Posted February 24, 2023 at 4:00 pm

motrin medicine

Jamesincew

Posted February 24, 2023 at 6:27 am

cheap advair online

TeoElume

Posted February 23, 2023 at 9:10 pm

buy online kamagra usa

Timothyvom

Posted February 23, 2023 at 5:27 am

fluoxetine tablets australia

MarkElume

Posted February 22, 2023 at 11:22 pm

buy effexor online

TommyInhen

Posted February 22, 2023 at 10:38 pm

buy prednisone online without a script

EstebanFon

Posted February 22, 2023 at 7:03 pm

price of propecia in singapore

MarvinCar

Posted February 22, 2023 at 4:10 pm

buy stromectol online uk

Jamesincew

Posted February 22, 2023 at 1:53 pm

toradol kidney stones

RodneyFew

Posted February 22, 2023 at 8:39 am

erectafil 20 mg

EdgarWar

Posted February 22, 2023 at 6:05 am

buy synthroid online cheap

Jamesincew

Posted February 21, 2023 at 8:45 pm

affordable pharmacy

SueElume

Posted February 21, 2023 at 2:04 pm

toradol pill form

EstebanFon

Posted February 21, 2023 at 8:37 am

cipro 500mg dosage

Jamesincew

Posted February 20, 2023 at 10:33 pm

ivermectin for covid

EstebanFon

Posted February 19, 2023 at 11:38 am

amoxil 250 price

YonElume

Posted February 18, 2023 at 5:36 pm

price of kamagra oral jelly in australia

Curtislam

Posted February 18, 2023 at 3:04 am

best online pharmacy

TedElume

Posted February 17, 2023 at 9:36 am

erythromycin capsules

DavidKeelp

Posted February 17, 2023 at 4:41 am

lyrica medicine cost

WimElume

Posted February 15, 2023 at 10:53 am

online pharmacy delivery

MichaelFonia

Posted February 14, 2023 at 9:48 pm

purchase neurontin canada

EdgarWar

Posted February 14, 2023 at 12:32 pm

Nobetci noter, belirli bir zaman dilimi iÃ§erisinde hizmet veren ve mÃ¼vekkil veya mÃ¼vekkillerin temsilcilerinin sorunlarÄ±nÄ± ve taleplerini Ã§Ã¶zmek amacÄ±yla gÃ¶rev yapan bir noterdir. Bu noter, belirli saatler arasÄ±nda hizmet verir ve gÃ¼nlÃ¼k olarak nÃ¶bet yapar. Sende ankara nobetci noter listesine hemen ulaÅŸ

nobetci noter

Posted February 14, 2023 at 11:14 am

generic wellbutrin

EstebanFon

Posted February 14, 2023 at 4:06 am

clopidogrel 150 mg

JasonElume

Posted February 14, 2023 at 2:27 am

buy dexamethasone online

KimElume

Posted February 13, 2023 at 2:25 am

tamoxifen cost in canada

KiaElume

Posted February 12, 2023 at 9:35 am

colchicine cost uk

UgoElume

Posted February 10, 2023 at 2:18 pm

baclofen 60 mg

AshElume

Posted February 10, 2023 at 10:06 am

colchicine tablets 500mg

AshElume

Posted February 10, 2023 at 8:31 am

online pharmacy australia paypal

BooElume

Posted February 10, 2023 at 6:10 am

lioresal 25 mg

UgoElume

Posted February 10, 2023 at 6:06 am

zestril 25 mg

AshElume

Posted February 9, 2023 at 10:19 pm

prinzide zestoretic

UgoElume

Posted February 9, 2023 at 9:30 pm

cymbalta coupon 30 mg

JimElume

Posted February 9, 2023 at 8:06 pm

top online pharmacy 247

UgoElume

Posted February 9, 2023 at 1:00 pm

zestril price uk

BooElume

Posted February 9, 2023 at 11:50 am

lisinopril 20 mg mexico

WimElume

Posted February 9, 2023 at 11:36 am

reputable online pharmacy no prescription

UgoElume

Posted February 9, 2023 at 10:54 am

baclofen 20 mg coupon

WimElume

Posted February 9, 2023 at 10:38 am

suhagra 100mg tablet price in india

AshElume

Posted February 9, 2023 at 8:39 am

colchicine cancer

BooElume

Posted February 9, 2023 at 5:22 am

price of gabapentin 800 mg

WimElume

Posted February 9, 2023 at 4:44 am

viagra generic 50 mg

KiaElume

Posted February 9, 2023 at 4:30 am

amoxicillin for sale online

UgoElume

Posted February 9, 2023 at 3:31 am

gabapentin 400 mg capsule

BooElume

Posted February 9, 2023 at 1:26 am

generic atomoxetine

BooElume

Posted February 8, 2023 at 10:40 pm

baclofen medication

AshElume

Posted February 8, 2023 at 9:25 pm

strattera 40 mg pills generic

AshElume

Posted February 8, 2023 at 4:39 pm

gabapentin 400 mg cost

UgoElume

Posted February 8, 2023 at 2:15 pm

canada pharmacy online

BooElume

Posted February 8, 2023 at 10:00 am

zestril 2.5 mg

BooElume

Posted February 8, 2023 at 9:58 am

pharmacies in canada that ship to the us

UgoElume

Posted February 8, 2023 at 7:44 am

lioresal cost

AshElume

Posted February 8, 2023 at 7:38 am

abilify pills for sale

Michaelabors

Posted February 8, 2023 at 7:31 am

canada pharmacy world

BooElume

Posted February 8, 2023 at 7:19 am

lioresal 25 mg

AshElume

Posted February 8, 2023 at 4:31 am

where to buy colchicine in singapore

BooElume

Posted February 8, 2023 at 4:19 am

arimidex steroids

RodneyFew

Posted February 8, 2023 at 4:13 am

colchicine cap

WimElume

Posted February 8, 2023 at 2:51 am

straterra order

WimElume

Posted February 8, 2023 at 1:26 am

sildalis 120 mg

EdgarWar

Posted February 7, 2023 at 11:21 pm

lisinopril prescription

BooElume

Posted February 7, 2023 at 10:18 pm

lisinopril hctz

AshElume

Posted February 7, 2023 at 9:49 pm

purchase baclofen

WimElume

Posted February 7, 2023 at 7:04 pm

how much is amoxicillin online

WimElume

Posted February 7, 2023 at 4:51 pm

lisinopril 20 mg no prescription

AshElume

Posted February 7, 2023 at 3:09 pm

price of colchicine in mexico

WimElume

Posted February 7, 2023 at 1:30 pm

generic amoxicillin cost

BooElume

Posted February 7, 2023 at 12:16 pm

buy prozac tablets

MichaelFonia

Posted February 7, 2023 at 7:42 am

strattera 100mg cost

UgoElume

Posted February 7, 2023 at 7:18 am

pharmacy express

BooElume

Posted February 7, 2023 at 6:54 am

gabapentin generic

UgoElume

Posted February 7, 2023 at 4:23 am

lisinopril 12.5 tablet

UgoElume

Posted February 7, 2023 at 4:11 am

can you buy colchicine without a prescription

BooElume

Posted February 7, 2023 at 3:39 am

suhagra for sale

UgoElume

Posted February 7, 2023 at 2:26 am

hydroxychloroquine prices

MichaelFonia

Posted February 7, 2023 at 1:21 am

cost of colchicine tablets

BooElume

Posted February 6, 2023 at 10:00 pm

safe online pharmacies in canada

UgoElume

Posted February 6, 2023 at 2:55 pm

suhagra 100 for sale

AshElume

Posted February 6, 2023 at 12:28 pm

best canadian pharmacy no prescription

BooElume

Posted February 6, 2023 at 10:40 am

prinivil 5mg tablet

WimElume

Posted February 6, 2023 at 8:43 am

cialis daily use coupon

MichaelDoold

Posted February 6, 2023 at 7:04 am

strattera 20mg

UgoElume

Posted February 5, 2023 at 7:32 pm

strattera online pharmacy

BooElume

Posted February 5, 2023 at 6:26 pm

colchicine 0.6mg tablets coupon

AshElume

Posted February 5, 2023 at 6:12 pm

pharmacies in canada that ship to the us

UgoElume

Posted February 5, 2023 at 3:52 pm

xenical india

UgoElume

Posted February 5, 2023 at 8:36 am

generic augmentin coupon

LisaElume

Posted February 5, 2023 at 8:15 am

colchicine 0.6 mg tablet coupon

AshElume

Posted February 5, 2023 at 3:31 am

purchase arimidex online

UgoElume

Posted February 4, 2023 at 11:32 pm

orlistat otc canada

WimElume

Posted February 4, 2023 at 11:13 pm

flomax 4mg price

WimElume

Posted February 4, 2023 at 9:56 pm

strattera cap 25mg

UgoElume

Posted February 4, 2023 at 7:58 pm

colchicine 0.6 mg without prescription

UgoElume

Posted February 4, 2023 at 7:40 pm

xenical price australia

BooElume

Posted February 4, 2023 at 5:15 pm

buy motilium 10mg

AshElume

Posted February 4, 2023 at 5:10 pm

orlistat pills uk

WimElume

Posted February 4, 2023 at 5:04 pm

lasix mastercard

Curtislam

Posted February 4, 2023 at 1:23 pm

flomax 4 mg cost

UgoElume

Posted February 4, 2023 at 1:17 pm

orlistat 120mg capsules for sale

BooElume

Posted February 4, 2023 at 3:29 am

cost of colchicine in uk

AshElume

Posted February 4, 2023 at 3:00 am

colchicine 500 mg

AshElume

Posted February 3, 2023 at 2:23 pm

how to get ivermectin

MiclGam

Posted February 3, 2023 at 11:47 am

strattera drug

WimElume

Posted February 3, 2023 at 9:17 am

tretinoin 0.05 prices

AshElume

Posted February 3, 2023 at 7:34 am

arimidex steroids

BooElume

Posted February 3, 2023 at 5:18 am

propecia nz price

CharlesDar

Posted February 3, 2023 at 1:04 am

how much is colchicine in canada

WimElume

Posted February 2, 2023 at 8:37 pm

motilium tablets price

UgoElume

Posted February 2, 2023 at 7:48 pm

colchicine in mexico

UgoElume

Posted February 2, 2023 at 11:54 am

lasix medicine price

RodneyFew

Posted February 2, 2023 at 7:30 am

antabuse online canada

TommyInhen

Posted February 2, 2023 at 5:41 am

buy tretinoin 0.1 cream

UgoElume

Posted February 2, 2023 at 5:31 am

arimidex hair loss

AshElume

Posted February 2, 2023 at 4:35 am

where can i buy cytotec pills online

JasonElume

Posted February 1, 2023 at 1:58 pm

05 retin a

UgoElume

Posted February 1, 2023 at 10:13 am

arimidex price uk

AshElume

Posted February 1, 2023 at 7:24 am

colchicine over the counter australia

WimElume

Posted February 1, 2023 at 7:01 am

flomax medication

AshElume

Posted February 1, 2023 at 6:53 am

generic noroxin

BooElume

Posted February 1, 2023 at 12:56 am

motilium drug

BooElume

Posted January 31, 2023 at 10:25 pm

.05% generic retin a without a prescription

BooElume

Posted January 31, 2023 at 8:26 pm

motilium 10mg uk

UgoElume

Posted January 31, 2023 at 9:01 am

buy zithromax online usa

JasonElume

Posted January 31, 2023 at 7:57 am

arimidex price uk

BooElume

Posted January 31, 2023 at 7:31 am

colchicine 0.6 mg tablets

UgoElume

Posted January 31, 2023 at 6:39 am

can you buy strattera over the counter

UgoElume

Posted January 31, 2023 at 4:47 am

cheap xenical 120 mg

AshElume

Posted January 31, 2023 at 4:00 am

buy strattera canada

BooElume

Posted January 31, 2023 at 12:27 am

furosemide 40mg tabs

WimElume

Posted January 30, 2023 at 4:30 pm

buy flomax generic

AshElume

Posted January 30, 2023 at 1:05 pm

generic sildalis

MiaElume

Posted January 30, 2023 at 11:30 am

lexapro 200 mg

MichaelRom

Posted January 30, 2023 at 8:51 am

orlistat online buy

UgoElume

Posted January 30, 2023 at 7:36 am

prescription retin a 1

BooElume

Posted January 30, 2023 at 5:38 am

retin a 1 buy online

BooElume

Posted January 30, 2023 at 2:33 am

colchicine 1mg cost

AshElume

Posted January 30, 2023 at 1:29 am

tretinoin tablets

BooElume

Posted January 29, 2023 at 11:04 pm

dapoxetine buy online usa

NickElume

Posted January 29, 2023 at 10:12 pm

doxycycline 100mg tablet

KiaElume

Posted January 29, 2023 at 8:52 pm

tretinoin 0.2

AshElume

Posted January 29, 2023 at 8:30 pm

where to buy motilium

AshElume

Posted January 29, 2023 at 7:29 pm

price of colchicine in mexico

UgoElume

Posted January 29, 2023 at 3:43 pm

where to buy arimidex in india

BooElume

Posted January 29, 2023 at 3:21 pm

buy cheap flomax

AshElume

Posted January 29, 2023 at 12:54 pm

can i buy colchicine over the counter

WimElume

Posted January 29, 2023 at 11:57 am

strattera generic canada

UgoElume

Posted January 29, 2023 at 11:56 am

buy generic strattera

WimElume

Posted January 29, 2023 at 10:46 am

coursework uk
coursework plagiarism checker
coursework service

InessaEapn

Posted January 25, 2023 at 5:35 am

Any thoughts on how we as individuals , collectively, can “stem the tide?”

Louise witkin-Berg

Posted July 13, 2014 at 5:58 pm

Hi Beverly
Product B contains a little of just about every herb and supplement associated with “anti-aging.” Whether or not these mini-doses when combined together actually do anything beneficial is another issue altogether. They’re all pretty harmless. If you live a long time, you can always attribute your longevity to Product B. If you develop some serious illness and die younger than you think you deserved, especially after using Product B, you can (from the other side) demand a refund.

Dr E

Posted July 9, 2014 at 2:40 am

Dear Dr. Edelberg,

What do you know about Product B – a blend of many “natural substances” that is supposed to heal your telomeres? My daughter (in Ft. Collins) knows someone who is selling the product and she would like to try it if it is thought to be helpful for increasing energy. She is going through a rough change-of-life period. I told her I would ask Dr. Edelberg’s opinion. Thank you
Bev B

Beverly Bojanowski

Posted July 8, 2014 at 11:56 pm

Word. Thanks Dr E

Susan Barney

Posted July 8, 2014 at 3:30 pm

Thanks,for your time & the needed info ,I,ll be on top of it now..

arletta williams,...great to be informed!!!!

Posted July 8, 2014 at 1:33 pm

Indeed, Dr. Edelberg, indeed.

Dr. David W Bailey, DC

Posted July 8, 2014 at 11:46 am

The Leviathan Swims In The Swill: Too Much Money To Ever Fix The System

Health Tips / The Leviathan Swims In The Swill: Too Much Money To Ever Fix The System

Hospice Inc

Big Pharma and health insurers

Hospitals and doctors too

315 thoughts on “The Leviathan Swims In The Swill: Too Much Money To Ever Fix The System”

Elwoodfodia

Samuelclorn

DavisLox

Williamver

Darrylecody

buy ditropan

Curtislam

DavidKeelp

SueElume

MaryElume

MaryElume

Elwoodfodia

DavisLox

SueElume

DavidKeelp

Josephbom

MichaelRom

JoeElume

Josephbom

wqwjci

Josephbom

ZakElume

IvyElume

EyeElume

DavisLox

IvyElume

ZakElume

DavisLox

DavisLox

Darrylecody

AshElume

SueElume

DavisLox

ZakElume

AlanElume

AlanElume

RichardTried

SueElume

MichaelRom

EyeElume

DavisLox

Josephbom

Josephbom

Elwoodfodia

SueElume

DavisLox

JoeElume

DavisLox

Darrylecody

Elwoodfodia

ZakElume

Darrylecody

SueElume

hpvbui

Curtislam

DavidKeelp

jiqw08

ZakElume

MichaelRom

Darrylecody

DavisLox

Ouedvcb

MichaelRom

MarkElume

SamElume

Darrylecody

EvaElume

JasonElume

PaulElume

Josephbom

xoodrn

MichaelFonia

EvaElume

Darrylecody